Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradenton Plastic Surgery, P. A.

Organization Plastic Surgery Physician · NPI 1801148432

Bradenton Plastic Surgery, P. A. is a Plastic Surgery Physician in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

1220 59th St W
Bradenton, FL 34209-4154
Phone: (941) 795-2088
Fax: (941) 792-5139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence ME0047930 (FL)

Record details

NPI number1801148432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enrique Fernandez — President · (941) 795-2088
NPI enumeratedOctober 5, 2012
Last updated in NPPESOctober 5, 2012
Mailing address1220 59th St W, Bradenton, FL 34209-4154

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